Evaluating effectiveness of your organization against best practices for risk adjustment and quality programs

Whether it’s to reduce medical loss ratios or improve competitive positioning with more affordable products, health plans are under increasing pressure to reduce medical expenses through population health management. Where do you start when it’s difficult to identify and prioritize areas of opportunity that will have the greatest impact? A critical first step is to […]
Read More »

What does the latest data from CMS mean for Medicare accountable care organizations?

The numbers coming out of the Centers for Medicare and Medicaid Services (CMS) tell an encouraging story about the prospects for Medicare Accountable Care Organizations and the Medicare Shared Savings Program. According to a CMS report, 243 ACOs saved Medicare $877 million in an 18-month span that ended in 2013. While that is only less […]
Read More »

Podcast: Using predictive analytics to improve care quality

Being proactive about providing care for patients is an important strategy for quality improvement. Once a patient presents at the point of care, especially a high-risk patient, the time for prevention has passed. Reaching out to such patients before they feel like they need to go to the hospital is the key. In this edition […]
Read More »

Podcast: Create opportunities for actionable intelligence with patient registries

As the buzz around population health management increases, you’re going to hear more about registries. Registries are HIPAA-compliant lists of patients who share common attributes. When registries are used to focus on patients in need of targeted actions to prevent negative outcomes, registries can be the backbone of a good care management program. In this […]
Read More »

Podcast: Applying analytics to optimize care coordination programs

In the ever-evolving world of health care, clinical analytics are a key capability clinics and hospitals need to have as they shift from providing care to managing health. Analytics help provider organizations find opportunities among their attributed populations that are actionable, predictable and preventable. In this edition of the Health Care Dialogue podcast, Kristin Landry […]
Read More »

Accelerating the progression toward an integrated clinical model

As we sit post-ACA, it has become apparent that we have entered one of the most dynamic times in all of health care. Risk for all stakeholders has been on an accelerated course since 2010, but managing risk looks different depending where you are in the health care space. Providers — whether hospitals or physician […]
Read More »

Client perspective: The Optum analytics partnership

In health care’s steady march toward value-based care, health care organizations need solutions to help them tip the odds in their favor. One such solution is an analytics platform, which helps providers gain a deeper understanding of their population risk and better know where and how to devote clinical and financial resources. When choosing an […]
Read More »

CMS 2016 Advance Notice and impact on plan sponsors

The release of the Centers for Medicare & Medicaid Services (CMS) 2016 Advance Notice of Methodology Changes presents numerous opportunities and challenges that Medicare Advantage (MA) plans will need to assess for the 2016 plan year. The general impact of these changes could vary greatly based on specific plan circumstances and what we see as […]
Read More »

After promising results, Medicare will likely continue expanding risk-based contracting efforts

In our last blog post, we shared a few reasons why risk-based contracting in health care is here to stay. In this post, we’ll share some data points that point to current and future impacts on the industry, and a few suggestions to help you jump on the value-based train. The value-based train has left […]
Read More »

Traumatic events test employers’ ability to respond

Would you know how to respond to your employees’ grief following the death of a co-worker? A work site closing or reduction in force? A community tragedy? Traumatic events like an employee death are sources of workplace disruption, triggering emotional and even physical reactions among co-workers and managers alike. Employees may be shaken and unable […]
Read More »

Follow

Get every new post delivered to your Inbox.

Join 3,098 other followers